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Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women
J Community Health. 2019 Jun;44(3) :525-533
PMID: 30915676 PMCID: PMC6529234 URL: https://www.ncbi.nlm.nih.gov/pubmed/30915676
AbstractLow cervical cancer screening rates among Vietnamese American women have been attributed, in part, to inadequate knowledge about cervical cancer and health beliefs that hinder screening. A community-based educational program was developed to improve knowledge and attitudes toward cervical cancer screening in this underserved population. It was hypothesized that the program would result in increases in knowledge, as well as enhanced health beliefs and self-efficacy toward obtaining cervical cancer screening. Using a group-randomized design, 1488 women from 30 Vietnamese community-based organizations were assigned to either the intervention (n = 816) or control (n = 672) conditions. The intervention group received cervical cancer education delivered by bilingual community health educators. Intervention content addressed individual beliefs and expectancies regarding cervical cancer screening (e.g., perceived risk of developing cervical cancer; perceived benefits and barriers to screening; social and cultural norms regarding screening). The control group received general health education, including information about cancer screening. Knowledge and health beliefs were assessed at baseline and post-intervention. Among women in the intervention group, overall knowledge about cervical cancer and screening guidelines increased from pre- to post-program (30% vs. 88%, p < 0.001), perceived benefits of screening increased (3.50 vs. 4.49, p < 0.001), and perceived barriers to screening decreased (3.13 vs. 2.25, p < 0.001). Changes in knowledge and health beliefs were not observed among women in the control group. A community-based educational program can help increase knowledge about cervical cancer and screening, promote positive changes in women's beliefs about the benefits of cervical cancer screening, and reduce perceived barriers to screening. Such programs may play an important role in addressing health disparities and informing underserved populations about recommended screening tests.
Notes1573-3610 Fang, Carolyn Y ORCID: http://orcid.org/0000-0002-0575-3867 Lee, Minsun Feng, Ziding Tan, Yin Levine, Fayola Nguyen, Cuc Ma, Grace X R01 CA111570/National Cancer Institute U54 CA221705/National Cancer Institute Journal Article Netherlands J Community Health. 2019 Mar 26. pii: 10.1007/s10900-019-00645-6. doi: 10.1007/s10900-019-00645-6.